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Gerontology Nurse Practitioner · ALBUQUERQUE, NM

Individual Active NPI 1699179119

Medicare payment data Part B · 2022

Year	Beneficiaries	Services	Submitted	Allowed	Paid
2022	121	178	$25,181	$15,840	$6,875

Taxonomy & licensure

Specialty	Code	Primary	License	State
Gerontology Nurse Practitioner	363LG0600X	✓	CNP-02566	NM
Adult Health Nurse Practitioner	363LA2200X		CNP-02566	NM

Medicare eligibility

Part B: Yes
DME: Yes
Home health: Yes
Power mobility: Yes
Hospice: No

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360CAREXLLC
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KATHRYN WHITTAKER, AGACNP-BC
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See all Gerontology Nurse Practitioner providers in New Mexico →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.